Individual provider Active NPI

Jennifer Stewart

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1033477120
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001260 Issued in IA
Practice address
515 E Broadway
Council Bluffs, IA 51503-4419
Phone
(712) 322-1407
Fax
(712) 322-6833
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001260 IA Primary

Addresses

Primary practice location

515 E Broadway
Council Bluffs, IA 51503-4419

Mailing address

1324 N. Lenox Circle
Council Bluffs, IA 51503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241024004452 NE Practitioner - Mental Health Counselor 7719410034 Reassigns benefits to 1 organization
I20251009002484 IA Practitioner - Mental Health Counselor 7719410034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 N 60TH St
BLDG C
Omaha, NE 68104-3402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2803NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family Service Mental Health CurrentSince Aug 8, 2024 Accepting new patients
Heartland Family Service Current Accepting new patients
Heartland Family Service Current Accepting new patients
Heartland Family Service CurrentSince Aug 20, 2025 Accepting new patients
Heartland Family Service CurrentSince Aug 8, 2024 Accepting new patients

Locations

1515 Avenue J
Council Bluffs, IA 51501
Phone (712) 435-5350

515 E Broadway
Council Bluffs, IA 51503
Phone (712) 322-1407

2101 S 42nd St
Omaha, NE 68105

302 American Pkwy
Papillion, NE 68046
Phone (402) 339-2544

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1033477120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N. LENOX CIRCLE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419",
            "telephone_number": "712-322-1407",
            "fax_number": "712-322-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.